Nokea
The nurses at an acute care hospital participate in a committee focused on achieving Magnet status. Which action do the nurses suggest to help achieve this goal?
- A. Centralizing the decision-making and scheduling process
- B. Promoting self-governance at the unit level
- C. Deterring professional autonomy to promote teamwork
- D. Promoting evidence-based practice over innovative nursing practice
Correct Answer: B
Rationale: Magnet hospitals use a decentralized decision-making process, self-governance at the unit level, and respect for and acknowledgment of professional autonomy. In Magnet hospitals, 14 characteristics, the Forces of Magnetism, have been recognized that identify quality patient care, excellent nursing care, and innovations in professional nursing practice.
You may also like to solve these questions
A chief nursing officer with a transformational leadership style is developing a plan for success to obtain Magnet status. What are the most appropriate strategies for the leader to use? Select all that apply.
- A. Sharing their vision of excellence in patient care and high-level education
- B. Encouraging nurses to incorporate evidence-based practice through hospital committees and to join nursing organizations
- C. Promoting compliance by reminding subordinates that they have a good salary and working conditions
- D. Ensuring employees are kept abreast of new developments in their department and the larger organization
- E. Writing the Magnet application and supporting documentation with limited input from the nursing staff
- F. Encouraging nurse managers and nurses to self-schedule as long as proper coverage is maintained
Correct Answer: A,B
Rationale: Transformational leaders inspire, motivate, create intellectually stimulating practice environments, and challenge themselves and others to grow personally and professionally. They demonstrate caring and vulnerability, communicating honestly and openly. They are risk takers and pay attention to process as well as outcomes. Instituting a reward program and reminding workers that they have a good salary and working conditions are examples of transactional leadership, which is based on a task-and-reward orientation. Ensuring that employees keep abreast of new developments in nursing care is a characteristic of quantum leadership. The group and leader work together to accomplish mutually set goals and outcomes with the democratic leadership style, and the laissez-faire style encourages independent activity by group members, such as setting their own schedules and work activities.
A charge nurse on the step-down unit will likely use which leadership style during resuscitation efforts for a cardiac arrest?
- A. Democratic
- B. Laissez-faire
- C. Servant
- D. Autocratic
Correct Answer: D
Rationale: Autocratic leadership assumes control over the decisions and activities of the group, such as taking charge of emergencies, dictating schedules and work responsibilities, and scheduling mandatory in-service training. Polling other nurses is an example of democratic leadership, which is characterized by a sense of equality among the leader and other participants, with decisions and activities being shared. In laissez-faire leadership, the leader relinquishes power to the group and encourages independent activity by group members. Examples of laissez-faire leadership style are allowing the nurses to divide up the tasks and encouraging them to work independently.
A nurse is asked to act as a mentor to a new nurse. What action will the mentor expect to perform?
- A. Accepting payment to introduce the new nurse to their responsibilities
- B. Hiring the new nurse and assigning duties related to the position
- C. Enabling the new nurse to participate in professional organizations
- D. Advising and assisting the new nurse to adjust to the work environment of a busy emergency department
Correct Answer: D
Rationale: Mentorship is a relationship in which an experienced person (the mentor) advises and assists a less experienced person (prot?©g?©). This is an effective way of easing a new nurse into leadership responsibilities. An experienced nurse who is paid to introduce an employee to new responsibilities through teaching and guidance describes a preceptor, not a mentor. The nurse mentor does not hire or schedule new nurses. Nurses do not need mentors to join professional organizations.
A nurse erroneously administered two tablets of acetaminophen totaling 650 mg to their patient. When reporting this to the nurse manager, the nurse states, 'there are two tablets in a package labeled '325 mg, acetaminophen.' The prescription reads 'administer 325 mg of acetaminophen;' therefore, I administered what was in the package.' Based on a philosophy of just culture, what should happen next?
- A. The nurse should be found at fault for not clarifying the order.
- B. The package labeling should be reviewed with the pharmacy.
- C. The nurse should be disciplined.
- D. No follow-up is needed as the medication is over the counter.
Correct Answer: B
Rationale: A just culture is committed to accountability and safety. Nurses are encouraged to disclose clinical errors and potential error situations without the fear of punitive actions, allowing others to learn from this experience. Health care workers within the organization discuss concerns and challenges related to patient care, turning them into opportunities for improvement. Reviewing the package labeling with the pharmacy addresses the root cause of the error, which is unclear labeling, rather than solely blaming the nurse.
An RN on a telemetry unit is falling behind while performing assessments and administering medications. Which task can the nurse safely delegate to the AP?
- A. Assessing a patient who has just arrived on the unit
- B. Teaching a patient with newly diagnosed diabetes about foot care
- C. Documenting a patient's I & O in the electronic health record
- D. Helping a postoperative patient out of bed for the first time
Correct Answer: C
Rationale: Documenting a patient's I & O on a flow chart does not require professional judgment and can be delegated to AP. Professional nurses are responsible for the initial patient assessment, discharge planning, health education, care planning, triage, interpretation of patient data, care of invasive lines, administering parenteral medications. What they can delegate are assistance with basic care activities (bathing, grooming, ambulation, feeding) and things like taking vital signs, measuring intake and output, weighing, simple dressing changes, transfers, and postmortem care.